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GP Network Plan – 4 Plans Compared

GP Network Plan – 2024 Comparisons

GP Network Plan: Are generally designed for younger people entering the medical aid market for the first time or for those clients that have a limited medical aid budget.

The Medical Aid companies typically contract with a group of hospitals and GP’s on a capitation basis and in this way are able to offer medical cover at more affordable rates.

GP Network Plan Members mainly need to work through their GP (the Gatekeeper), regardless of the particular ailment.

With spiralling medical aid inflation, the Network Plans have become far more popular in the last few years.

View our latest 2024 plan updates below.

gp network plan south africa woman child doctor

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4 GP Network Plans Compared2024 Comparisons Made Easy!

Table Of ContentsGP Network Hospital Plans

Click/Tap on the links below to scroll to your table of interest.

    1. Discovery Keycare Start – Network Plan
    2. Discovery Keycare Plus – Network Plan
    1. Fedhealth My Fed – Network Plan
    2. Momentum Ingwe: Network Hospitals

Discovery

Column 1 Column 2 Column 3 Column 4

KEYCARE START - NETWORK PLAN
Monthly Contributions
Income p/m R0 - R10100
*
 R10 101 - R15250
**
 R15251+
***
Main Member R1 239
*
 R2 085
**
 R3 247
***
Spouse/Adult dependent R1 239
*
 R2 085
**
 R3 247
***
Child (Max 3) R755
*
 R817
**
 R883
***
Benefits
100% scheme rate in-hospital.
Network hospitals, GP's and Specialists to be used.
Covers 27 chronic diseases: subject to formulary State only.
Dialysis state only.
Exclusions on certain procedures apply.
Oncology ( State hospital) PMB.
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: R2650 pp on specialist benefit if out of hospital.
---

Discovery

Column 1 Column 2 Column 3 Column 4

KEYCARE PLUS - NETWORK PLAN
Monthly Contributions
Income p/m R0 - R9450
*
 R9451 - R15250
**
 'R15251+
***
Main Member R1 652
*
 R2 271
**
 R3 354
***
Spouse/Adult dependent R1 652
*
 R2 271
**
 R3 354
***
Child (Max 3) R601
*
 R640
**
 R897
***
Benefits
100% scheme rate in-hospital.
Network hospitals, GP's and Specialists to be used.
Covers 27 chronic diseases: Medication DSP and formulary applies. Members must use a network GP to manage chronic conditions or a co-payment applies.
Dialysis: full cover through network providers Exclusions on certain procedures apply
Exclusions on certain procedures apply.
Oncology: PMB.
MRI/CT scans: unlimited if part of hospital procedure.
MRI/CT scans: R2650 pp on specialist benefit if out of hospital.

Fedhealth

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7

MY FED - NETWORK PLAN
Monthly Contributions
Income p/m R0 - R6251
*
 R6252 - R8550
**
 R8551 - R10219
***
 R10220 - R12622
****
 R12623 - R14226
*****
 R14427+
******
Main Member R1 590
*
 R1 622
**
 R1 936
***
 R2 713
****
 R3 448
*****
 R4 676
******
Spouse/
Adult
dependent		 R1 590
*
 R1 622
**
 R1 681
***
 R2 368
****
 R2 842
*****
 R4 260
******
Child (Max 3) R677
*
 R750
**
 R946
***
 R1 041
****
 R1 347
*****
 R1 782
******
Benefits
100% scheme rate in-hospital: Network hospitals to be used.
R14 700 co-payment on voluntary non-network admissions.
7 days take home medicine.
Oncology: PMB: Only at DSP.
27 Chronic benefits: subject to scheme formulary must use DSP.
MRI/CT scans: As part of hospital procedure: needs authorisation.
GP visits unlimited if at network provider.
---

Momentum

Column 1 Column 2 Column 3 Column 4 Column 5

INGWE: NETWORK HOSPITALS
Monthly Contributions
Income p/m R826 – R8150
*
 R8151 - R11325
**
 R11326 - R16100
***
 'R16101+
****
Main Member R1 184
*
 R1 507
**
 R2 069
***
 R2 970
****
Spouse/Adult dependent R1 184
*
 R1 507
**
 R2 069
***
 R2 670
****
Child (Max 3) R542
*
 R564
**
 R609
***
 R875
****
Benefits
100% scheme rate in-hospital.
Ingwe Hospitals to be used.
Oncology: State.
Renal Dialysis: State.
26 Chronic diseases: subject to scheme formulary: Ingwe Primary Care Network.
MRI/CT scans: As part of hospital admission at a state hospital.
GP's: must be on the Primary Care Network..
1 out of network visit per person, 2 visits per family with a R105 co-payment.
---

Annual Updates

As additional GP Network Plan comparisons are made available, we will continue to update this page. In our effort to provide our clients with the most up to date information and advice on the medical aid industry in South Africa. If you are still deciding which plan type is best suited to your situation, why not take a look at the Medical Aid Plans page to see the full range of plans.

We Are Here To Help

For more detailed information on any of the above GP Network Plan comparisons, simply contact us. If you need help applying, why not make use of our Medical Aid Application Form Help Page, and one of our consultants will contact you to assist. Alternatively, if you would like us to confirm some finer details and pricing, just fill in our free Medical Aid Quote Request form, and we will get back to you promptly.

Finally, we invite you to contact us on +27 21 712 8866 at any point in your decision-making process for further information on these GP Network Plan comparisons.

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